BGA ref no:

Complex Maintenance Application

This form is used for BGA inspectors at non approved maintenance sites (List 2) to apply for specific authorisation to carry out a complex maintenance task on aircraft under BGA maintenance control.
Applicable aircraft; Sailplanes, Self Sustaining Sailplanes, Powered Sailplanes and Motor gliders, Annex II powered aircraft. For a definition of complex tasks and how to apply for approval see AMP 2-13.
Note: all complex tasks will require completion approval prior to releasing aircraft. This application is not a repair scheme approval. This application is the approval of facilities for the task and for quality oversight in accordance with Part M, subpart F.

BGA Number: Serial/works number:

Registration:
G-
Description of work (title):

Make & Type:

Location where work is to be accomplished:

Name and address of certifying BGA inspector:

Inspector number:

Contact telephone number:

Contact email:

Name of Senior Inspector (if applicable):

Date work is due to be started: Details of the work to be carried out:

Expected completion date (if known):

Description of facility to be used for the work:

Description of tools and equipment to support work:

Details of the approved repair scheme including drawings, manual references and no technical objections that the work will be certified to:

BGA Use only:

Please use continuation sheets as necessary.

Initial Approval:

Assessment date:_________________________________ Initial Visit required Initial visit not required Follow up visits required

Assessment and Initial visit comments:_______________________________________________________________________________

Approval to start work Date:______________________ Signed:___________________________________________________________

Follow up visits: Date:________________________ Comments:________________________________________________________

Date:________________________ Comments:________________________________________________________

Completion review:

Review date:________________________________ Visit required No visit required

Comments:_____________________________________________________________________________________________________

Complex maintenance task closed: Signed___________________________________ Date:____________________________________

AMP 1-3 Appendix 26

BGA 277 01/14